13 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Cincinnati, OH
2-star overall rating with 1-star inspections with 13 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
1171 Towne Street, Cincinnati, OH
(513) 242-1360
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
93
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-01-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.34
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.30
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.71
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
10,548
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9823
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
3.35
Baseline 38.71% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0
Adjusted total nurse staffing
0.65
Baseline 3.22 hours · Performance 3.26 hours · Measure score 0.65 · Achievement 0.65 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 123 |
| Staff flu vaccination coverage | 4.58% |
42%
37.4 pts worse
|
Numerator 6 · Denominator 131 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.1% |
92.4%
3.3 pts worse
|
93.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 91.8% · Q3 96.3% · Q4 78.5% · 4Q avg 89.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
94.5%
2.2 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.3%
1.5 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.2% · Q3 1.2% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 44.1% |
26.1%
18 pts worse
|
11.4%
32.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.0% · Q2 46.2% · Q3 45.7% · Q4 43.5% · 4Q avg 44.1% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
6.2%
3.2 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.3% · Q3 3.9% · Q4 4.2% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.1% |
25.4%
7.3 pts better
|
19.6%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 15.6% · Q3 18.4% · Q4 21.9% · 4Q avg 18.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.4% |
11.5%
13.9 pts worse
|
16.7%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 20.7% · Q3 26.7% · Q4 34.4% · 4Q avg 25.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 1.3% |
7.7%
6.4 pts better
|
16.3%
15 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 1.7% |
6.2%
4.5 pts better
|
14.9%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 2.7% · Q4 1.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% |
21.7%
0.6 pts better
|
19.8%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 32.2% · Q3 26.1% · Q4 8.0% · 4Q avg 21.1% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
3.7%
0.6 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 3.3% · Q4 4.9% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.9% |
78.1%
26.2 pts worse
|
81.7%
29.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 28.0% · 4Q avg 51.9% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
14 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Top issue: Nutrition and Dietary (5 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (10 deficiencies)
Top issue: Resident Rights (8 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-12-02
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-12-02
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-12-02
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2024-12-02
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-12-02
Fire Safety
Provide primary/alternate means for communication.
Corrected 2024-12-02
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-12-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-12-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-12-02
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-12-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-02
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-03-30
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-03-30
Fire Safety
Install proper backup exit lighting.
Corrected 2023-03-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-03-30
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-03-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-08-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-08-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-08-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-08-02
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2019-08-02
Fire Safety
Establish staff and initial training requirements.
Corrected 2018-07-06
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-07-06
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2018-07-06
Fire Safety
Install proper backup exit lighting.
Corrected 2018-07-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-07-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-07-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-07-06
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2018-07-06
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2018-07-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-07-06
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-03
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-02
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-12-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-02
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-06-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-25
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-06-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-25
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-06-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-17
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-17
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2023-12-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-31
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-07-12
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-12
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-03-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-30
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-03-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-30
Health
Provide activities to meet all resident's needs.
Corrected 2023-03-30
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-03-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-08-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-08-02
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2019-08-02
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-08-02
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-08-02
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-08-02
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-08-02
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-08-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-08-02
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-08-02
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-08-02
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-08-02
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2018-07-06
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2018-07-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-07-06
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2018-07-06
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2018-07-06
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2018-07-06
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2018-07-06
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2018-07-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-07-06
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2018-07-06
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-07-06
Health
Provide and implement an infection prevention and control program.
Corrected 2018-07-06
Health
Post nurse staffing information every day.
Corrected 2018-07-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Security Interest · Organization
W-2 Managing Employee · Individual
Nearby options
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